tci ED Coding & Reimbursement Alert - 2006 Issue 4

READER QUESTIONS: New Diagnosis Codes Split CKD 5 Ways

Question: I heard that there have been some ICD-9 coding changes  for chronic kidney disease (CKD). Is this true, and if so, how should we represent a CKD diagnosis on a claim?Kentucky Subscriber Answer: Yes, it's true that CMS revamped the CKD diagnosis coding section. From now on, if you treat a patient who has had CKD, use a code from the 585.1-585.5 series, which describe the disease in five stages. Quick tip: The 585 category's fourth digits simply specify in chronological order the five CKD stages from least severity (stage I) to greatest (stage...

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